Most Relevant Information
Provider Data
| NPI Number: | 1003505777 |
| Provider Name: | SHEHTAAJ LILAPORIA DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/08/2023 |
| Last Updated: | 05/08/2023 |
Provider Practice Location
1000 ASYLUM AVENUE
HARTFORD
CT
06105
Practice Location Phone/Fax
| Phone: | 8607144532 |
| Fax: | 8607148275 |
Provider Mailing Location
263 FARMINGTON AVENUE
FARMINGTON
CT
060301921
Provider Mailing Phone/Fax
| Phone: | 8606792147 |
| Fax: | 8606794624 |